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SITI MEDICAL CLINIC NPI 1790088219


NPI Information

NPI: 1790088219
Provider Name: SITI MEDICAL CLINIC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization
Address:
1951 4TH AVE STE 202
SAN DIEGO, CA
ZIP 92101
Phone: (619) 717-8484
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SITI MEDICAL CLINIC is a clinical nurse specialist in San Diego, CA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. SITI MEDICAL CLINIC NPI is 1790088219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1951 4TH AVE STE 202
SAN DIEGO, CA
ZIP 92101-374
Phone: (619) 717-8484

The provider's authorized official is Susan Ann Kincaid .
The authorized official title is Part Owner/ Manger and has the following contact phone number (619) 717-8484.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse Specialist18150CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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